01/10/2026
Not every “acne” breakout is actually acne. And treating the wrong condition can keep skin stuck in a frustrating loop. 🔄
Here’s how acne and perioral dermatitis differ, and why that distinction matters.
Acne is a disorder of the pilosebaceous unit. It involves excess oil production, follicular congestion, inflammation, and sometimes bacteria. You’ll typically see a mix of blackheads, whiteheads, inflamed papules, pustules, or deeper cysts. Acne often responds well to treatments that regulate oil flow, normalize cell turnover, and reduce inflammation over time.
Perioral dermatitis, on the other hand, is an inflammatory condition linked to barrier disruption and microbiome imbalance. It usually shows up as clusters of small red bumps or pustules around the mouth, nose, or eyes and often spares the skin immediately around the lips. It can sting, burn, or feel tight rather than oily or congested.
Here’s where things go wrong ⤵️
Treating perioral dermatitis like acne, especially with exfoliants, benzoyl peroxide, or strong actives, often makes it worse. What it needs is barrier repair, calming inflammation, and a simplified, strategic approach.
Correct diagnosis is everything. When skin isn’t responding “as expected,” it’s often because we’re speaking the wrong language to it.
